Health Care Patterns and Planning in Developing Countries

By Rais Akhtar | Go to book overview

would change from one who specifies the objective function for the analyst to solve to one who specifies the behavioral objectives that a new system must meet. The role of the analyst would be to forecast the behavior in the system following any change in the locational pattern and to devise location-allocation models capable of finding location patterns that are optimal with respect to the intended behavioral outcomes.


Future Applications of Location-Allocation Models

These pioneering application efforts need to be expanded to cover larger tettitories and more sectors of the economy. Support for these efforts in the future should not come from any one specific sector because typically many sectors can benefit from an analysis system that has been made operational for any region. The objective in most applications will not be to find the global optimum pattern for the region but will be to improve an existing system. To this end, decision makers will be anxious to explore alternatives that are good with respect to the defined objectives. They will want true "aids to decision making" in which the algorithms will help in their process of evaluating alternatives and reaching judgments. Research will thus be needed to observe decision makers systematically as they use such a locational analysis as an aid to their decision making. In applications to date there has been little recognition that a behavioral process is at work in the adoption and use of such a modeling system in a complex decision making context. Research will have to investigate this process, and analysis systems will have to be adapted to the needs of humans as they struggle to make good locational decisions.


REFERENCES

Banerji S., and Fisher H. B. 1974a. "Hierarchical location analysis for area planning in rural India". Papers of the Regional Science Association 33: 177-94.

Banerji S., and Fisher H. B. 1974b. "Spatial analysis for integrated area planning in India". Urban and Rural Planning Thought (India) 17, 1: 1-46.

Bennett V. L., Eaton D. J., and Church R. L. 1982. "Selecting sites for rural health workers". Social Science and Medicine 16: 63-72.

Bose A., and Desai P. B. 1983. Studies in social dynamics of primary health care. Delhi: Hindustan Publishing Corp.

Bose A., and Tyagi R. P. 1983. "Rural health services: present status". In Studies in social dynamics of primary health care, eds. A. Bose and P. B. Desai, pp. 104- 22. Delhi: Hindustan Publishing Corp.

Brill E. D., Jr. 1979. "The use of optimization models in public-sector planning". Management Science 25, 5: 413-22.

Church R., and ReVelle C. 1974. "The maximal covering location problem". Papers of the Regional Science Association 32: 101-18.

Cornuejols G., Fisher M. L., and Nemhauser G. L. 1977. "Location of bank accounts to optimize float". Management Science 23: 789-810.

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